News & Analysis

June 1, 2021
Briefings on APCs

Joe Rivet, Esq., CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHPC, CHEP, CHC, CICA, CAC, CACO, looks at the implications of a recent OIG brief on how Medicare Advantage organizations could use national provider identifiers (NPI) to monitor for fraud, waste, and abuse. 

June 1, 2021
Briefings on HIPAA

In July 2020, managed IT services provider Blackbaud disclosed it was the victim of an unnamed ransomware attack. The company paid the ransom, according to a January 14, 2021 report by the HHS Cybersecurity Program titled “Distributed Attacks and the Healthcare Industry.”

May 26, 2021
HIM Briefings

With the inpatient-only (IPO) list set to be phased out, HIM departments need to prepare for the larger operational and financial impacts. Consider how these changes will affect your organization.

May 26, 2021
Medicare Insider

This week’s Medicare updates include three advisory opinions, a series of NCD transmittals, multiple OIG reviews of hospice compliance, and more!

May 19, 2021
News & Insights

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.

May 19, 2021
Medicare Insider

This week’s Medicare updates include changes to the list of codes requiring prior authorization, an advance copy of implementation information for the Interoperability and Patient Access Final Rule, a resolution to an edit regarding DRG weights, and more!

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